Accurate visualization and quantification of coronary vasculature by 3D/4D fusion from biplane angiography and intravascular ultrasound

Abstract

In the rapidly evolving field of intravascular ultrasound (IVUS) for tissue characterization and visualization, the assessment of vessel morphology still lacks a geometrically correct 3D reconstruction. The IVUS frames are usually stacked up to form a straight vessel, neglecting curvature and the axial twisting of the catheter during the pullback. This paper presents a comprehensive system for geometrically correct reconstruction of IVUS images by fusion with biplane angiography, thus combining the advantages of both modalities. Vessel cross-section and tissue characteristics are obtained form IVUS, while the 3D locations are derived by geometrical reconstruction from the angiographic projections. ECG-based timing ensures a proper match of the image data with the respective heart phase. The fusion is performed for each heart phase individually, thus yielding the 4-D data as a set of 3-D reconstructions.